Ladies shorts, with built in briefs

I am wondering about those shorts with built in briefs, not the mesh type ones, but rather those which are like the scary panties that we used to have to wear to school (well, we had to wear these huge, nylon, navy ones).  

Are you supposed to wear pants underneath these, so that there is a triple layer, or just the shorts / briefs?  Just doesn't seem that hygienic to me.  

What do you do?

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